Description

You will act as a Business Analyst focusing on US Healthcare Payer, TPA, and Insurance domains.

Responsibilities

• Analyze healthcare workflows including Claims, Clinical Edits, Claims Pricing, and Benefit Plans.
• Manage requirements for Premium Billing, Enrollment, Payments, and Reinsurance/Stoploss.
• Execute Agile processes such as writing user stories, grooming, sprint planning, and backlog refinement.
• Facilitate technical documentation and process mapping using Visio and JIRA.

Required Skills

• 8+ years of related work experience.
• 5-8 years of experience within the US Healthcare industry.
• Deep knowledge of EDI transactions (834, 835, 837, 278, 270/271, 276/277).
• Working knowledge of HIPAA regulations.
• Proficiency in Microsoft Excel, Word, PowerPoint, and Visio.
• Experience using JIRA within an Agile environment.
• Advanced mathematics aptitude and analytical comprehension.
• Strong organizational and communication abilities.

Preferred Skills

• Project Management experience.

Key Skills

Education

Any Gradute